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ORALHLTH 2212B - Clinical Practice IIOH (Modified) Part 2

North Terrace Campus - Semester 2 - 2017

A significant focus of Clinical Practice IIOH (Mod) Part 2 is Operative Techniques, based on a Minimum Intervention (MI) philosophy. As the student's understanding of MI dentistry grows through resource sessions and tutorials, the opportunity to develop and refine required psychomotor skills and techniques in the laboratory environment is provided. These skills are then transferred to the clinical setting, where the procedures are performed on patients. Students will build on their intra-oral radiography skills to include prescription, diagnosis and treatment planning.

  • General Course Information
    Course Details
    Course Code ORALHLTH 2212B
    Course Clinical Practice IIOH (Modified) Part 2
    Coordinating Unit Oral Health
    Term Semester 2
    Level Undergraduate
    Location/s North Terrace Campus
    Units 10
    Contact Up to 23 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites Advanced Diploma of Oral Health (Dental Hygiene) from TAFE SA
    Restrictions Bachelor of Oral Health, TAFE SA entry students
    Assessment Observation, journals, viva voices, practical exams & written exams
    Course Staff

    Course Coordinator: Associate Professor Catherine Snelling

    Course Timetable

    The full timetable of all activities for this course can be accessed from .

  • Learning Outcomes
    Course Learning Outcomes

    1Practice within legislative parameters for relevant dental professionals and apply this knowledge in practice
    2Abide by the principles of health care ethics and demonstrate these principles in the delivery of clinical services
    3Apply the principles and techniques of quality assured examination & diagnostic processes including clinical photography, applied intra-oral radiography & personalized dental care concepts to customising patient care and treatment plans
    4Describe the physical and psychological behaviour management theories and apply communication strategies supportive of these theories to enhance acceptance of dental treatment
    5Explain effective attributes of successful change management and apply this information to foster patient behaviour that is favourable to oral health
    6Explain the range of preventive procedures within a defined scope of practice and apply this knowledge in the clinical setting by targeting and performing preventive procedures on patients
    7Explain the interrelating principles of cavity preparation, material selection and placement, pulp therapy and the use of liners for the deciduous and permanent dentition and apply this knowledge to operative techniques scenarios in the laboratory and simple treatments with patients
    8Compare and contrast the pharmaceutical properties of the types of local anaesthetic agents used by oral health therapists, apply this knowledge to potential complications (local and systemic), utilise appropriate preventative strategies and select the appropriate technique for each clinical procedure requiring a local anaesthetic
    9Recogniseand describe the anatomical, histological and physiological features of the oral tissues (including hard and soft tissue, bones, muscles, nerves and blood supplies) and apply this knowledge to deliver safe & effective inferior alveolar block, periosteal infiltration and interpapillary injections
    10Practice in a culturally competent manner with a diverse range of individuals and community groups

    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Deep discipline knowledge
    • informed and infused by cutting edge research, scaffolded throughout their program of studies
    • acquired from personal interaction with research active educators, from year 1
    • accredited or validated against national or international standards (for relevant programs)
    1, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12
    Critical thinking and problem solving
    • steeped in research methods and rigor
    • based on empirical evidence and the scientific approach to knowledge development
    • demonstrated through appropriate and relevant assessment
    3, 4, 5, 15
    Teamwork and communication skills
    • developed from, with, and via the SGDE
    • honed through assessment and practice throughout the program of studies
    • encouraged and valued in all aspects of learning
    4, 14, 15
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    1, 2, 3, 7
    Intercultural and ethical competency
    • adept at operating in other cultures
    • comfortable with different nationalities and social contexts
    • able to determine and contribute to desirable social outcomes
    • demonstrated by study abroad or with an understanding of indigenous knowledges
    1, 2, 14, 15
    Self-awareness and emotional intelligence
    • a capacity for self-reflection and a willingness to engage in self-appraisal
    • open to objective and constructive feedback from supervisors and peers
    • able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
    1, 2, 4, 5, 14
  • Learning Resources
    Required Resources
    •    The regulation laboratory and clinical coats must be good order, and must be worn at all times in the clinic and simulation clinic
    •    Appropriate footwear to be worn at all times in the clinic and simulation clinic
    •    Safety glasses in clinic and simulation are obligatory at all times
    •    A full set of permanent plastic Columbia teeth

    In addition, you will need to purchase additional Columbia deciduous plastic teeth (approximate cost $80) for semester 1B. The appropriate manikins will be provided at no cost, but the student is responsible forthe purchase of the teeth. Further information will be provided during semester 1.
    •    Purchase of Instruments and EquipmentStudents should budget approximately $250 for additional Columbia teeth and other simulation lab resources across the year.  We strive to keep additional costs to a minimum.
    •    SADS Clinic manual for undergraduate dental students     Remember that the clinics are under the control of the SA Dental Service. You are admitted as a student to practise in these clinics under their terms and conditions (as per the University Calendar). The SA Dental Service has set down a summary of these rules for conduct and dress code, conditions, and policies in the SA Dental Clinic Manual.  You will be given a copy during your induction sessions. Make sure you read it thoroughly as observance of these rules and codes is essential for students who wish to be permitted use of the clinics and laboratories.
    Recommended Resources
    •    Ianucci JM and Howerton LJ (2006) Dental Radiography: Principles and Techniques, 3rd  edition, Saunders Elsevier: St Louis
    •    Kidd, EAM (2005). Essentials of Dental caries, 3rd edition, Oxford University Press: Oxford
    •    Nield-Gehrig JS (2008) Foundations of Periodontics for the Dental Hygienist, Lippincott Williams and Wilkins: Philadelphia
    •    Nield-Gehrig JS (2008) Fundamentals of Periodontal Instrumentation, Lippincott Williams and Wilkins: Philadelphia
    •    Nield-Gehrig JS (2008) Patient assessment Tutorials, Lippincott Williams and Wilkins: Philadelphia
    •    Cameron A and Widmer R (2013) Handbook of Paediatric Dentistry, 4th ed, Mosby-Wolfe: London
    ·     Noble SL (editor) (2012) Clinical Textbook of Dental Hygiene and Dental Therapy, Wiley-Blackwell: Oxford
    Online Learning
    All resources for this course will be uploaded on My Uni under Combined Clinical Practice II Part A in Semester 1, and Clinical Practice II OH Part B, Semester 2 in the course material section. MyUni will be used extensively for learning and communication, so you are strongly urged to check your emails and MyUni announcements on a regular /daily basis. A blended learning approach is implemented in your paedodontic topics – a combination of face-to-face resource sessions, online learning modules and tutorials are utilised to promote a contemporary, flexible and effective learning environment.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    1.    Class meetings
    2.    Tutorials
    3.    Printed and web-based media
    4.    Written assignments and oral presentations
    5.    Learning laboratories
    6.    Clinical sessions
    7.    On-line learning activities
    8.    Self-assessment
    9.    Self-directed learning
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Clinical Practice IIOH occupies the majority of your time in second year.   It is presented in a number of different learning environments:
    •    Class Meetings
    •    Tutorials
    •    Learning Laboratories
    •    Pre-Clinical and Clinical Sessions
    •    Online learning activities

    In Semester 2, there will be:
    •   Paedodontics:  a ninety minute class meeting, where the student will focus on the application of clinical practice in the treatment and care of children and adolescents.
    •  Periodontology: resource session/s each week at the 成人大片, with second and third year BDS students. Tutorials will also be scheduled to help support your learning.

    Learning Laboratories
    Simulation Clinic MI Dentistry Operative Techniques: Two practical sessions per week will be held in the Simulation Clinic, Barr Smith South Building.
    Learning Activities Summary
    •    Structure and properties of teeth, and their relationship to restorative dentistry
    •    The caries process
    •    Cavity classification and nomenclature
    •    Minimum Intervention PhilosophyDiagnostic aidsFluoride
    •    Introduction to instrumentation in restorative dentistry
    •    Introduction to dental materials
           Composite resins
            Fissure sealants
            Bonding agents/ liners
            Glass Ionomer Cements
            Amalgam
    •    Cavity preparations and restoration of permanent teeth
            Occlusals
            Proximal posteriors
            Proximal anteriors
            Cervical
            Incisal edge
            Cusp protection and replacement
            Bonded amalgams
    •    Management of the occlusal lesion
    •    Management of the proximal lesion
    •    Paedodontics
    •    Pulp therapies – primary and permanent teeth
            Caries control
            Pulp capping
            Pulpotomies
    •    Deciduous cavity preparation and restoration
    •    Management of traumatic injuries to anterior teeth
    •    Dental emergencies
    •    Local anaesthesia
    •    Periodontics
    •    Instrument sharpening
    •    Supra and sub-gingival hand scaling (instrumentation)
    •    Ultrasonic scaling
    •    Application of remineralising gels, solutions and pastes
    •    Impressions/mouth guards
    •    Dental law and ethics
    •    Attributes and Competencies of an Oral Health Therapist
    •    Intra-oral radiography
    •    Clinical photography
    •    Patient examination and history taking
    •    Oral and radiographic diagnosis
    •    Treatment planning (including preventive options)
    •    Tobacco Use Prevention And Cessation (TUPAC)
    •    Patient education and oral hygiene instruction
    •    Dietary considerations for oral health
    •    Special needs (Supported Residential Facilities)
    •    Care of fixed and removable prostheses
    •    Periodontal indices
    •    Polishing and recontouring restorations
    •    Calculus detection
    •    Prophylaxis and stain removal
    •    Saliva testing and other diagnostic aids
    Specific Course Requirements
    Clinic Sessions 

    The class will be divided into groups for clinic sessions and will be rostered at either Marion or
    Elizabeth GP Plus Dental Clinics - these groups will be organised during Commencement Week. The groups will be rostered for clinical sessions based upon the chairs available for use. Sessions when students are not providing direct patient care should be used for out of clinic study or clinical assistance (when required).
    Clinic sessions will be held on Monday and Fridays at the Marion and Elizabeth clinics –a roster will be provided at the start of the year.
    Small Group Discovery Experience
    There will be a SGDE in paedodontic dentistry class meetings where students will explore of topic of relevance to oral health practice with paediatric dentistry experts
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Component Contribution
    Clinic45%
    Pre-ClinicalNGP
    Operative Techniques15%
    Theory   40%
    •    OSCA semesters 1 and 2
    •    Periodontology test – semester 2 (Test of Understanding Sem 1)
    •    MI Dentistry examination – semester 1
    •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    •    Paedodontic online learning activitiese and written exam – semester 2                                     TOTAL100%

    Component Due Dates
    Clinical Practice and Clinical Learning PortfolioSemester 1 Week 13
    Semester 2 Week 13
    Pre-ClinicalSemester 1 continous assessment
    Operative Techniques (Simulation Clinic)Continous assessment across the year
    OSCA - semesters 1 and 2
    Periodontology test – semester 2
    MI Dentistry examination – semester 1
    3 Clinical Case study reports (Integrated with Human Biology II OH) – sem 1 and 2
    Paedodontic online learning activities and written exam – semester 2

    Assessment Related Requirements
    Assessment of Simulation Clinic
    For your Simulation Clinic sessions (Operative Techniques) students will completea self-assessment sheet for each procedure and discuss it with their tutor.
    •    At the end of Semester  you will have a feedback session with your tutor, where you will discuss a summative grade, based .
    •    At the end of Semester 2 your tutor will award summative marks towards your final practical mark.

    Clinical Assessment
    Foryour Pre-Clinical/Clinical assessment you will complete a self-assessment sheet at the end of each session and discuss your
    assessment with your tutor.    
    In the Dental Hygiene component:
    •  At the end of Semester 2 these summative marks awarded by your tutors will contribute towards your final practical mark.  A feedback session for each student with the Stream Coordinator will be scheduled early in Semester 2 to review the Semester 1 assessment & set goals for Semester 2.    
    In the Dental Therapy component:
    •    At the end of Semester 2 your tutor will award a summative mark, which will contribute to your final clinical assessment.  Furtherinformation about the practical assessment will be given during class meetings. Every effort will be made to help students identify areas in which difficulty is being experienced, and to remediate the level of performance.  If you consider that you are having difficulty with any part of the stream, please contact the relevant discipline/stream coordinator.    To obtain a pass grade in Clinical Practice IIOH, you must obtain a satisfactory (or above) result for the year in the assignments and written examinations as well as in each of the clinical/laboratory components.      

    A uniform system of clinical assessment is used in all years of both BDS and BOH programs.  It is based on self-assessment and it:
    •    gives you direct input into your clinical assessment and learning experiences•    encourages you to reflect on the learning process as a whole
    •    teaches you to reflect on and assess the quality of your clinical work using a standardised assessment procedure
    •    encourages you to learn by receiving regular feedback
    •    encourages you to accept responsibility for what you say and do in theclinic
    •    includes objective measures of clinical performance in each discipline
    •    helps develop life-long learning skills

    Wherever possible, each session will have time allocated for you to:
    •    review with your tutor what you propose to do for each patient for the session
    •    debrief to self-assess and discuss the self-assessment with your tutor.

    You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identifiedas requiring improvement. You are required to keep and maintain detailed up-to-date information about your work in the clinic throughoutthe year.  You will be issued with a self-assessment booklet, which youmust have with you at each clinic session. In addition, you will complete a ClinicalLearning Portfolio that demonstrates attainment of clinical competencies you successfully complete in pre-clinic and clinic
    sessions over the year. During the orientation period, you will be giving detailed information on how these evidence portfolios are to be implemented in your clinical program.A specific self-assessment book for the Operative Techniques sessions in the Simulation Clinic willalso be issued to you, and should be brought to all these sessions.Learningcan be defined as a change in understanding.  Therefore it is your responsibility to demonstrate improved understanding related to your knowledge, skills and attitudes throughout the year.  The assessment process is designed to provide you with feedback on your progress.You will be given Clinical Assessment Criteriainformation (for both sem 1 and sem 2) describing specific skills criteria for the clinical procedures that you undertake in the Clinical Practice II OH course. The criteria for the assessment of Infection control, Knowledge base and Professional behaviour are common to all procedures and disciplines. Bothyou and your tutor will use these standard criteria.  If your assessment differs significantly from that of your tutor’s, the reason(s) should be recorded during the self-assessment process.Oncompletion of a clinical procedure, you are required to self-assess your work in your self-assessment booklet.  You should identify strengths, areas needing improvement and strategies for improvement. Youshould then seek feedback from your tutor about your clinical performance.Tutors will record details of student and patient attendances in the clinic and whether or not you have self-assessed your work regularly. If you do not complete a self-assessment, your tutor will mark your performance as unsatisfactory.You need to follow up learning issues that have been raised during the assessment process by researching the relevant information or by taking steps to improve aspects of your clinical work that have been identified as requiring improvement.
    Note: You should be aware that your final grade in the preclinical/clinical component of Clinical Practice II OH is not just the sum of individual assessments in your self-assessment booklet. These assessments are formative comments and provided to help you with your learning.  Your final assessment will be based on an overall reviewof your knowledge, skills and attitudes in a clinical context.  You should discuss your overall performance with your tutors and mentors throughout the year.Further information about the practical assessment component will be given during class meetings.  However, it is important to note that the final assessment for each semester is based upon the standard obtained towards the end of the assessment period.  It is not based on an average of the entire semester. Everyeffort will be made to help students identify areas in which difficultyis being experienced, and to provide help to remedy problems.  If you are aware that you are having difficulty with any part of the course,
    please the discipline/stream co-ordinator
    Assessment Detail
    Component Contribution
    Clinic45%
    Pre-ClinicalNGP
    Operative Techniques15%

    Theory  40%
    •    OSCA semesters 1 and 2
    •    Periodontology test – semester 2 (Test of Understanding Sem 1)
    •    MI Dentistry examination – semester 1
    •    3 Clinical Case study reports (Integrated with Human Biology II OH) – semesters 1 and 2
    •    Paedodontic online learning activities and written exam – semester 2                                            TOTAL100%
    Submission
    Assignments must be submitted with the dental school’s official cover sheet. Submission may be made electronically or in the assignment boxes located on the 5th floor of the Adelaide Dental Hospital.
    Any requests for extension must be made in writing to the relevant assessor no later than 7 days before the due date; marks will be deducted for anylate submission of work, unless an extension has been granted.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    GS8 (Coursework Grade Scheme)
    Grade Description
    CN Continuing
    FNS Fail No Submission
    NFE No Formal Examination
    F Fail
    NGP Non Graded Pass
    P Pass
    C Credit
    D Distinction
    HD High Distinction
    RP Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through .

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

  • Student Support
  • Policies & Guidelines
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    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

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